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C7RKY's profile
John Clarke
John Clarke
John Clarke
@C7RKY

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John Clarke

@C7RKY

Of course views all mine. All without prejudice. Just a regular chap after all. Oh...and RT's may equally imply ridicule as endorsement.

UK
Joined December 2011

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    1. John Clarke‏ @C7RKY Jan 26

      John Clarke Retweeted Jeremy Hunt

      Don't be taken in by claims of 'unintended implications' here, or elsewhere by clinicians. These threats ring very hollow to me. This isn't a threat to START covering up, merely a threat to CONTINUE doing so. Duty of candour is a farce. Court cases are what happen in response.https://twitter.com/jeremy_hunt/status/956566247084347393 …

      John Clarke added,

      Jeremy HuntVerified account @Jeremy_Hunt
      Wouldn’t be appropriate for me as Govt Minister to criticise a court ruling, but deeply concerned about possibly unintended implications here for learning & reflective practice in e-journals. Am also totally perplexed that GMC acted as they did: patient safety must be paramount https://twitter.com/shaunlintern/status/956479206854221825 …
      4 replies 4 retweets 4 likes
    2. Steven Shorrock‏ @StevenShorrock Jan 26
      Replying to @C7RKY

      From a psychological point of view it is predictable that people do not wish to incriminate themselves in advance of any legal proceedings. Reflective logs can be misused, like safety investigation interviews. The predictable response would be to write little (for ALL of us).

      2 replies 0 retweets 1 like
    3. John Clarke‏ @C7RKY Jan 26
      Replying to @StevenShorrock

      I do understand that. But most of us don't have a professional & contractual duty of candour, or work for an employer who has a statutory duty of candour. This case is just bringing to a head a situation that has been brewing for decades. Let's hope it leads to a proper solution.

      1 reply 0 retweets 0 likes
    4. Steven Shorrock‏ @StevenShorrock Jan 26
      Replying to @C7RKY

      Not by law, but ethically, morally? I used to be a heavy goods driver. Very hazardous job. I would not report myself by going over speed limit. I think we might have to accept now that reflective logs will be weakened now as a learning tool, whatever we’d like. Just human nature.

      1 reply 0 retweets 1 like
      John Clarke‏ @C7RKY Jan 26
      Replying to @StevenShorrock

      Maybe so. But it will only illuminate the deception which has underpinned the NHS's response to virtually all complaints for as long as I've been a part. Patients have had enough. Sympathy is unlikely to be plentiful among those who know the reality. Human nature cuts both ways.

      1:49 AM - 26 Jan 2018
      1 reply 0 retweets 0 likes
        1. New conversation
        2. Steven Shorrock‏ @StevenShorrock Jan 26
          Replying to @C7RKY

          But what are the influences on that? Adversarial legal system? Retributive justice without restorative justice? Fear? All in a context of a messy, under-resourced and badly designed system set against societal expectations and demands.

          1 reply 1 retweet 0 likes
        3. John Clarke‏ @C7RKY Jan 26
          Replying to @StevenShorrock

          You're absolutely right. It's a mess. But it's been a mess for a long time. This case doesn't change a thing, it just shows how desperate families are finding they have no choice but to seek justice through courts, when the NHS and the so-called duty of candour fails them.

          1 reply 0 retweets 1 like
        4. Steven Shorrock‏ @StevenShorrock Jan 26
          Replying to @C7RKY

          Two important lenses on this. a) How we would like the world to be. b) How the world is (predictable patterns). When we try to achieve a) we seem to fail to account for b). We use regulation and law without applying psychology, HF/E, sociology, ethnography, systems thinking...

          1 reply 0 retweets 2 likes
        5. John Clarke‏ @C7RKY Jan 26
          Replying to @StevenShorrock

          I wouldn't disagree with that in respect of formal changes that are attempted. I think families do account for b) - and that includes the impotence of the regulators - when deciding to go the legal route. It's never a first choice. Whole thing needs a radical rethink.

          1 reply 0 retweets 0 likes
        6. Steven Shorrock‏ @StevenShorrock Jan 26
          Replying to @C7RKY

          Yes I mean formal changes. I see this all the time in several industries. Regulators are, sadly, often staffed by people who do not understand the reality of practice in their industry, for several systemic reasons. James Reason called it “The Regulator’s Unhappy Lot”.

          1 reply 1 retweet 2 likes
        7. Steven Shorrock‏ @StevenShorrock Jan 26
          Replying to @StevenShorrock @C7RKY

          Families should not have to understand any of the disciplines relevant to law, regulation and management. I am one (my Mum died in hospital 24 years ago) but in different position. At the time the failure (3 weeks delay in treatment due to comms failure) didn’t get past the grief

          1 reply 1 retweet 1 like
        8. Steven Shorrock‏ @StevenShorrock Jan 26
          Replying to @StevenShorrock @C7RKY

          We never took legal action. Didn’t even process it. Just devastation for many years. Oncologist was furious at other (surgery) hospital.

          1 reply 0 retweets 1 like
        9. John Clarke‏ @C7RKY Jan 26
          Replying to @StevenShorrock

          I'm so sorry to hear that. I know that feeling of devastation. And you're right; families shouldn't have to learn in great detail about medicine, regulation, law or anything else. But that's the required reading if you want to establish the truth and you're strong enough to cope.

          1 reply 0 retweets 0 likes
        10. 2 more replies

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